healthcosts.net
New Patient Office Visit (level 5) at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$910.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,400.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $716.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $2.66 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $68.73 | ↓ -92% |
| CARESOURCE | Managed Medicaid | $72.35 | ↓ -92% |
| Paramount | Managed Medicaid | $74.52 | ↓ -92% |
| ANTHEM | Managed Medicaid | $75.97 | ↓ -92% |
| MOLINA | Managed Medicaid | $75.97 | ↓ -92% |
| Buckeye | Managed Medicaid | $75.97 | ↓ -92% |
| UNITED | Managed Medicaid | $77.41 | ↓ -91% |
| United BH | Managed Medicaid | $79.59 | ↓ -91% |
| Optum | Managed Medicaid Transplant | $88.11 | ↓ -90% |
| Caresource | Managed Medicaid | $97.39 | ↓ -89% |
| Molina | Managed Medicaid | $102.03 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $102.03 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $111.43 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $118.86 | ↓ -87% |
| United BH | All Products RN | $135.68 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $145.72 | ↓ -84% |
| UPMC | Medicare Advantage | $158.48 | ↓ -83% |
| United | Medicare Advantage | $158.48 | ↓ -83% |
| Anthem | Medicare Advantage | $158.48 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $158.48 | ↓ -83% |
| Valor | All Products | $158.48 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $158.48 | ↓ -83% |
| Humana | Medicare Advantage HMO | $158.48 | ↓ -83% |
| Aetna | Medicare Advantage | $158.48 | ↓ -83% |
| The Health Plan | Medicare Advantage | $158.48 | ↓ -83% |
| Cigna | Medicare Advantage | $163.23 | ↓ -82% |
| CommuniCare | Medicare Advantage | $166.40 | ↓ -82% |
| Perennial Health | Medicare Advantage | $171.16 | ↓ -81% |
| Devoted Health | Medicare Advantage | $171.43 | ↓ -81% |
| PPHP | All Products | $174.33 | ↓ -81% |
| Summacare | Medicare Advantage MD | $180.00 | ↓ -80% |
| Oscar | All Products | $181.94 | ↓ -80% |
| United | Managed Medicaid | $182.22 | ↓ -80% |
| Anthem | All Products Mid-Level Facility | $206.82 | ↓ -77% |
| Humana Military | All Products | $231.93 | ↓ -75% |
| Aetna | All Products Transplant | $233.88 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $248.97 | ↓ -73% |
| OHCP | All Products | $278.52 | ↓ -69% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $280.16 | ↓ -69% |
| Ohio Healthy | Transplant | $286.40 | ↓ -69% |
| United BH | All Products MD | $302.73 | ↓ -67% |
| Aultcare | PPO/HMO | $313.61 | ↓ -66% |
| Amish Community Aid Plan | All Products | $322.20 | ↓ -65% |
| CC EHP | All Products | $325.72 | ↓ -64% |
| Optum | Commercial CRS Care Solutions | $335.80 | ↓ -63% |
| MMO | Medicare HMO | $336.15 | ↓ -63% |
| MMO | Medicare PPO | $346.23 | ↓ -62% |
| MMO | SuperMed | $347.62 | ↓ -62% |
| Aetna | Acop | $355.87 | ↓ -61% |
| OMAS | All Products | $358.00 | ↓ -61% |
| Anthem | All Products Physician | $369.66 | ↓ -59% |
| Anthem | All Products Physician Facility | $369.66 | ↓ -59% |
| Summacare | Preferred | $375.10 | ↓ -59% |
| The Health Plan | All Products | $393.80 | ↓ -57% |
| Healthsmart | All Products | $393.80 | ↓ -57% |
| Summacare | Premier | $408.77 | ↓ -55% |
| Optum | All Products Transplant | $417.43 | ↓ -54% |
| UPMC | All Products | $429.60 | ↓ -53% |
| PHPHI | All Products | $429.60 | ↓ -53% |
| Optum | Commercial CHD Care Solutions | $434.61 | ↓ -52% |
| United | All Products - Mid-Level | $437.24 | ↓ -52% |
| Anthem | All Products Physician Non-Facility | $445.01 | ↓ -51% |
| Cigna | All Products Mid-Level | $463.35 | ↓ -49% |
| Clarity Health | All Products | $465.40 | ↓ -49% |
| Three Rivers | All Products | $465.40 | ↓ -49% |
| United | All Products | $471.66 | ↓ -48% |
| United | HMO & PPO | $471.66 | ↓ -48% |
| MMO | ALL PRODUCTS | $472.92 | ↓ -48% |
| Quality Care Partners | All Products | $501.20 | ↓ -45% |
| GMS | All Products | $501.20 | ↓ -45% |
| Consociate Health | All Products | $537.00 | ↓ -41% |
| Aetna | All Products First Health | $537.00 | ↓ -41% |
| Cigna | All Products Physician | $544.92 | ↓ -40% |
| Aetna | Asa | $572.80 | ↓ -37% |
| MMO | NASCO | $572.80 | ↓ -37% |
| USA Managed Care | All Products | $644.40 | ↓ -29% |
| Multiplan | All Products | $644.40 | ↓ -29% |
| Aetna | Qhp/Ifp | $716.00 | ↓ -21% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $152.75 | $0.01 – $280.16 |
| lutheran hospital | Cleveland | $152.75 | $0.01 – $280.16 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.52 – $280.16 |
| akron general | Akron | $910.00 | $0.01 – $280.16 |
| avon hospital | Avon | $152.75 | $0.01 – $211.50 |
| euclid hospital | Euclid | $152.75 | $0.01 – $211.50 |
| hillcrest hospital | Mayfield Heights | $152.75 | $0.01 – $211.50 |
| marymount hospital | Garfield Heights | $152.75 | $0.01 – $280.16 |